November 25, 2025 • 32 mins
On today’s Good Day Health Show - ON DEMAND…
Host Doug Stephan and Dr. Ken Kronhaus of Lake Cardiology (352-735-1400) cover a number of topics affecting our health. First up, Doug and Dr. Ken discuss the biggest news stories in the medical world, starting with a new line of Cheetos and Doritos without any artificial colors or flavors, but questioning if this really counts as “good news” as there are still a lot of processed junk on the ingredients list.
Next up, self-hypnosis may help some women going through menopause find relief from hot flashes — in frequency and intensity — with the help of listening to a daily audio hypnosis sessions. It’s worth menopausal patients discussing this with their doctors, as up to a 50% reduction has been found in the studies.
When it comes to Dr. Ken’s expertise as a cardiologist, the conversation shifts to a heart-health focus with a conversation on “low-intensity” smoking, and the real effects of second-hand smoke, the reality of third-hand smoke.
Then, a discussion on the future of medicine with new testing and clinical trials for incredible health developments in illnesses and diseases, including what gene-editing therapy can do to help those with high cholesterol.
Website: GoodDayHealthrShow.com
Social Media: @GoodDayNetworks
Host Doug Stephan and Dr. Ken Kronhaus of Lake Cardiology (352-735-1400) cover a number of topics affecting our health. First up, Doug and Dr. Ken discuss the biggest news stories in the medical world, starting with a new line of Cheetos and Doritos without any artificial colors or flavors, but questioning if this really counts as “good news” as there are still a lot of processed junk on the ingredients list.
Next up, self-hypnosis may help some women going through menopause find relief from hot flashes — in frequency and intensity — with the help of listening to a daily audio hypnosis sessions. It’s worth menopausal patients discussing this with their doctors, as up to a 50% reduction has been found in the studies.
When it comes to Dr. Ken’s expertise as a cardiologist, the conversation shifts to a heart-health focus with a conversation on “low-intensity” smoking, and the real effects of second-hand smoke, the reality of third-hand smoke.
Then, a discussion on the future of medicine with new testing and clinical trials for incredible health developments in illnesses and diseases, including what gene-editing therapy can do to help those with high cholesterol.
Website: GoodDayHealthrShow.com
Social Media: @GoodDayNetworks
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
The Good Day Health podcast with doctor Ken Cronhouse, sponsored
in part by Caldron The Safe, proven Way to lose
weight and keep it off. Hi Doug Stefan here, I'm
with doctor Ken Cronhouse on Good Day Health. Ken's Lake Cardiology, Monduro, Florida.
You want to get in on whatever expertise he has
and you require it's easy enough to do. He called
(00:23):
three five two seven three five fourteen hundred. That's his
office in late cardiology terms. Three five two seven three
five fourteen hundred. They'll be happy to see you and
you'll be happy that you went.
Speaker 2 (00:35):
Actually, all right, let's start. We go overview the things.
Speaker 1 (00:38):
If you're just joining us and haven't been a part
of this program in the past, what we do is
take a lot of information. Ken is a great researcher
and scientists in addition to being a clinician, being a
great cardiologist. The information that comes from all kinds of
studies and things that appear from various meetings around the
(01:01):
country and the health journals. All of that stuff becomes
part of our conversation here as to how it impacts
you and your health. And by the way, in case
the radio station changes time or you lose track of
what's going on, you can always augment or if you will,
add to your knowledge by going to the Good Day
(01:22):
Healthshow dot com, podcast spot, Apple, Spotify, iHeart where you
get your podcasts, you can find Good Day Health Good
Day Healthshow dot com.
Speaker 2 (01:32):
All right, let's start with some good news. I don't know.
Speaker 1 (01:35):
I'm arguing with myself as to whether this is even
good news. There's a new line of Cheetos and Doritos
that doesn't have all the gunk in it, a courtesy
of the new Secretary of Health and Human Services, who says,
get all the dies out of whatever foods you're producing.
I'm not so sure even if you get the dies
out of the Cheetos and Doritos are exactly health food
(01:58):
can but you can take it from there.
Speaker 3 (02:01):
Well, it seems like an upgrade, Doug. But bright orange
fingers may soon be less common for some snackers. PepsiCo
Company they announced that it will begin selling new versions
of Cheetos and Doritos that contain no artificial colors or flavors.
Speaker 1 (02:19):
Yeah, I mean, if you like that kind of stuff,
it doesn't have that, but it's got a lot of
other junk. Process junk in it, so understand that it
may be fun to have it at Thanksgiving.
Speaker 2 (02:32):
This is the thanks the pre.
Speaker 1 (02:34):
Thanksgiving program, and so there's a lot of people thinking,
all right, what am I going to eat?
Speaker 2 (02:40):
What's good for me? And YadA YadA.
Speaker 1 (02:42):
Well, watching a football game and eating cheetos or doritos,
I guess is a part of the celebration.
Speaker 2 (02:48):
In a manner of speaking.
Speaker 1 (02:50):
All right, let's see, there's some other good news here,
more than quasi good news. Self hypnosis. Who does that
if you are doing it on a daily basis.
Speaker 2 (03:01):
Sounds like it's good if you're going through menopause.
Speaker 3 (03:03):
Ken, Yes, Doug, this is a publication, real publication from
JAMA Network open this week that self hypnosis might help
some women in menopause find relief from hot flashes. Hot
flashes frequency and intensity decreased by more than fifty percent
among women who listen to a daily audio hypnosis session.
(03:26):
So talk to your gynecologists about these sessions. They may
be a nice help for those who have no hope
right now. Fifty percent reduction, that's a big deal.
Speaker 2 (03:37):
Yeah.
Speaker 1 (03:37):
Well, sometimes there are a lot of people who are
doing much more of this sort of thing. All right,
let's see here we have some heart items. Because you're
a cardiologist, I thought we'd take them and put them
all together. There's a focus on low intensity smoking.
Speaker 2 (03:55):
Either smoke or you don't smoke. That's what I would
carry away. What is, whether you're smoking a lot or
a little, what happens to your.
Speaker 3 (04:02):
Heart can Well, basically you have summarized it rather well
if you usually do, but if you spend a few
months with me in my chair, you would hear very
often patients say, well, you know, I don't smoke that much,
just a few cigarettes a day, no big deal. And
(04:23):
so when I bring up, as I do with any smoker,
the possibility of how are we going to stop this
habit as you are suggesting you need to, and it
comes up often as a comment, well, it's doctor k
It's just a few cigarettes, no big deal. And the
point being is that this big analysis, you know, scientists
(04:45):
called it a minute analysis, when you look at under
every single possibility, look at it all, analyze it all,
and this big analysis confirmed Doug as you're saying scientifically
that even low intensity smokers have a substantially higher risk
of heart disease and death compared to non smokers, even
(05:06):
years after quitting. The bottom line is if you smoke, don't,
even a few don't.
Speaker 1 (05:12):
Yeah, it's the bottom line is not only is it
bad for your health specifically, but think about the smokers
that you've been around and what they smell like. Imagine
what that smell. If you're following somebody down the sidewalk
and he's or she's smoking, and they blow the smoke
in the air. Sometimes you pass a car with somebody
(05:34):
smoking it, you can smell the smoke for miles. Well,
do you think that's doing to your body?
Speaker 2 (05:40):
Uh? Some people call me an elitist.
Speaker 1 (05:42):
I will not expose myself nor put myself in a
position of being around anybody who smokes, period, end of story.
Speaker 2 (05:51):
Never mind.
Speaker 1 (05:51):
You know, if you want to kill yourself, that's fine,
but I'm not letting you kill me. And secondhand spoke
has been proven and we've talked about.
Speaker 2 (05:59):
One hundred times, talked about it once here.
Speaker 1 (06:00):
Ken is just as bad for you as as smoking
the things.
Speaker 3 (06:08):
And you're even talking about third hand smoke when it's
stored in the surface of the car or the or
the couch and you sit down on the couch and
you can smell it all. Yes, second hand smokes. I
went around you was smoking and you're breathing directly in
their smoke. But third hand smoke. But it remains in
the in the structure itself, and you sit down in
(06:30):
it and you're smothered by it. It's a real thing.
Speaker 2 (06:33):
Awesome all right.
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Speaker 1 (09:24):
All right, so we're talking about your heart things, the smoking.
I saw something this week on the internet claiming diet
coke is the millennial cigarette. What sort of thing would you?
What I think scientists would say about that? Sounds like
it makes sense to me because diet coke, there's all
kinds of stuff the last month or so about how
(09:46):
bad the sugar's a well, it's not just last month
or so, but this seems to be a focus on it.
We've been talking about the various sugars or sugar substitutes
that get put into these drinks and that it's worse
than sugar and fact for you, right.
Speaker 3 (10:01):
Well maybe maybe so, but even marijuana. Is there there
substitute for cigarettes? So that generation but you know, live
a healthy life. No, I don't know how you can
say what's better or worse.
Speaker 1 (10:17):
They're just not lots of it'll hurt you, yeah right,
but not ice cream, ice cream everything, So.
Speaker 3 (10:26):
I say everything in moderation or yeah.
Speaker 2 (10:29):
That's right, all right, let's see here.
Speaker 1 (10:31):
Yep, there's a story this week about a gout drug
for cardiovascular risk.
Speaker 2 (10:38):
How does that work?
Speaker 3 (10:40):
Well, Doug, the plaque it clogs up the circulation to
our heart and causes heart attacks, the number one killer
of Americans. That plaque is due to too much bad
cholesterol and too much inflammation. And then once that blockage
gets in the thirty to sixty percent range of the
(11:01):
forty to sixty percent range, it can rupture. And that's
step one of a heart attack from too much inflammation.
And we have ways of measuring the inflammation and the circulation.
We get it in your blood tests every year it's
called highly sensitive c reactive protein HSCRP, also called cardiac CRP,
and that's a good measurement for people who want to
(11:23):
prevent heart attacks to know about themselves. They want it
under one. The whole idea behind this scout MEDICINEUG. It's
a common an expensive gutroid called culture scene. It may
help lower the risk of heart attack and stroke and
people with established cardiovascular disease because of its ability to
lower the inflammation in the circulation. This review provided a
(11:47):
high level evidence supporting level for the drugs anti inflammatory
properties for secondary prevention of cardiovascular events. So people who've
already had a heart attack measure their also very important
and talk to the cardiologists about whether anti inflammatory drug
culture scene would help them. Provocatives stuff.
Speaker 2 (12:08):
Have you prescribed this for any of your patients.
Speaker 3 (12:12):
There was a review on this, a study on this
which showed lack of effect. This has been going back
and forth like a ping pong ball, and we don't
have time to talk about this right now. But initially
there was enthusiasm and then there was another There was
another study done and only in Australia did they show
the effects. So I was getting ready to use this
(12:33):
and then the next step. And now there's this big,
big review that just came out actually seeing that there
may be some benefit to it. So I'm still analyzing
the data myself about whether to treat patients with it
and ask me in the next few weeks. But I'm
bringing this to people's attention because this review just came
(12:54):
out and it's something to talk to the cardiologists about.
Speaker 2 (12:57):
All right, more with doctor Kine coming right up.
Speaker 1 (13:05):
All right, we were talking about heart items, the cardiovascular risks
that are helped by this gout drug. Now let's move
into a story about gene editing therapy and what that
does if you have high cholesterol DOUG.
Speaker 3 (13:24):
This is so exciting and I'm not being dramatic. This
is the future. Can you imagine one and done? You
get one infusion and you never have to worry about
your cholesterol ever in your life. This is This is
in experiments, phase two testing and a clinical trial. DOUG
(13:49):
shows the potential for a one time genetic intervention to
treat a common risk factor for heart disease DOUG. So,
a simple gene editing treatment showed significant and sustained reductions
in LDL. The bad cholesterol and a small group of
patients with very high cholesterol despite being on conventional drugs.
(14:11):
This is a bold step towards treating a common chronic
disease with a single, one time genetic tweak. While the
trial is early stage, the results suggest a powerful and
durable way to lower cardiovascular risk factors for life, potentially
eliminating the need for daily medication. I know the cardiologist
(14:33):
who's involved in this, really brilliant guy, actually left Harvard
to start his own company. They have really been making success,
so much success that you know, billions of dollars literally
bought them. I would predict by the end of this
decade there's going to be available one and done where
(14:56):
you can get your cholesterol down in a single effort
and you never have to worry about it again.
Speaker 1 (15:03):
Well, when you say getting it down, getting it down
to what level?
Speaker 3 (15:06):
From extreme extremely low? You know, like what your PSK nine,
Rapatha prolu itt inclesran gets your LDL down to, you know,
under fifty.
Speaker 1 (15:22):
Because then there are those who say we need cholesterol,
we can't.
Speaker 3 (15:26):
Well they've been sleeping under a rock for twenty years
if they're saying that, Because.
Speaker 2 (15:32):
So we need no cholesterol whatsoever.
Speaker 3 (15:34):
When you're born, Doug, you the lower the better. When
you're born, your LDL is thirty mm thirty in the
thirties and some people in the teens, but no more
than the low thirties.
Speaker 2 (15:49):
You're right, and then it gets up into whatever zone
it is.
Speaker 1 (15:54):
There's the argument though, that you here all the time,
but cholesterol numbers are not that important.
Speaker 2 (15:58):
A lot of people are healthy, and they.
Speaker 1 (16:00):
Three hundred total numbers and YadA YadA. And you're going
to tell me that those people living under a rock as.
Speaker 3 (16:06):
Well, right, if they found one, I want to see them.
They're pretty rare, you know. You can say there's someone
three hundred and fifty pounds who is doing okay. But again,
I've never seen an obese ninety year old male in
over forty years of practice. But you can find outliers
wherever you go.
Speaker 2 (16:26):
It's always an exception to the rule one way or
the other. Then, So that's it, you know, you've it's.
Speaker 3 (16:34):
It's just i'll tell you, I'll tell you. I'll tell
you what I do for myself. I mean, I certainly
are making sure that my bad cholesterol is very low.
Speaker 2 (16:46):
Yeah.
Speaker 1 (16:47):
Maybe, wait, you do the same thing I do. Right,
don't you take a path or one another you.
Speaker 3 (16:51):
Are actually we can we can get into each we
can get into I'll give up my hip. We can
talk about LP little A. I'm in the twenty percent
who have a gene gift from their parents. Their life
of proteina is up, and I'm making sure my LDL
is under fifty.
Speaker 2 (17:07):
All right, we can so check that out.
Speaker 1 (17:09):
I'll be a doctor to the doctor as we continue
here in this week's Good Day Health, Doctor Ken Caltrin
is on the top of the food chain, if you will,
when it comes to losing weight, and because it is fall,
it's time to focus on what we seem to get
into every year at this time exactly.
Speaker 7 (17:26):
You know, we call it the eating season. There's a
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There are the quick fixes, are the ones that you know,
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They come and they go. Caldrin has been proven safe
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(17:47):
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two five four three six.
Speaker 1 (18:09):
Six Elizabeth Miller from toploss dot Com and Caltron back
with doctor Ken Cronhaus Doug Stephan. We've been talking about cholesterol,
We've been talking about heart disease because Ken is a
noted cardiologist practicing at Lake Cardiology down in Montorra, Florida.
(18:32):
And as I remind you frequently, because a lot of
people ask me this question. So in order to nip
it in the bud, here's how you get to Ken
and his office dial three five, two seven, three five
fourteen hundred for any kind of connection to Ken. To
better your health and your feelings by yourself is much
better to know what's going on in your body and
(18:54):
to have something and someone intervening for you that'll give
you the right information.
Speaker 2 (19:00):
Two seven three five one four Oh.
Speaker 1 (19:03):
Oh, okay, So you're going to give up your hipA
we're talking about this first came up with you and
me in my exam this past winter. Uh LP little
A and we didn't know you know much about LiPo.
Speaker 2 (19:20):
That's LP stands for a LiPo protein.
Speaker 3 (19:22):
Right, Yes, let's talk about the big picture if we're
going to talk about it, so we don't confuse everybody.
Let's talk about LiPo protein A or also called LP
little A because everybody's going to be talking about this
by the new year. It's going to be front page
news and we'll give everybody a head start, all.
Speaker 2 (19:43):
Right, So let's talk about it.
Speaker 3 (19:47):
All of us probably know somebody who should be on
the front page of Sports Illustrated but has had heart problem.
As a cardiologist, I practicing since the nineteen mi late
nineteen eighties, I have sadly seen too many people that
I just could not figure out. Would keep me up
(20:10):
all night? Why did this person have the big, major event?
And you know, everything possibly that I could think of
was fine. Well, about two three years ago identified was
something called lipoproteina. So everybody's heard about LDL bad cholesterol. Well,
(20:33):
lipoproteina is the awful, terrible cholesterol. It works like LDL
bad cholesterol, but it's even more powerful. It's horrible. It clots,
it plaques, and there's nothing any of us can do
about it except being born. There's nothing we do to
make it happen. There's nothing we do at the moment
(20:56):
to make it go down. And twenty percent of us
are blessed with this. In October two years ago, the
European Society of Cardiology put out a white paper urging
all adults to get their lipoproteina checked once, and unfortunately
the American Heart Association is still only advising moderate and
(21:21):
high risk people most preventive cardiologists. In fact, I think
all preventive cardiologists. I think the American Heart Association is behind.
And I hope no one that the American Heart Association
gets upset with me, but they're hearing it because I'm
not a lone voice. I'm among most, if not all,
of the preventive cardiologists urging the American Heart Association, which
(21:44):
is just probably too busy with other things, to reassess
their position and to make it the same as the
European Society of Cardiology on life of protein A, and
that is that everybody should get it checked once, and
you just need to check once, and twenty percent of
us are going to be elevated, and it's all genetic.
(22:06):
And if you're elevated, your brother or sister is fifty
percent likelihood of being elevated. Well, in the interest of
walking the wall, because you know, I never do anything
for any other patient that I wouldn't do myself if
I needed to. So in my annual blood work this year,
(22:29):
I had to ask because most non preventive cardiologists don't
even yet have this on their radar screen, I had
to ask my internist to add that lab test life
of proteina to my lab work, and lo and behold,
I won the genetic lottery on this one. I'm in
the twenty percent that's high, and usually when it's high,
(22:51):
it's quite high. It's not a little high, it's almost
always quite high. So my LDL, which runs pretty well
in about sixty sixty eight, I immediately got myself on statin
moderates now moderate statin, and I'm going to get my
LDL under fifty. It's also a good idea because of
(23:14):
the clotting issue, if you can tolerate it, to take
a low dose aspen each day. And then I immediately
called my brother to who was also a doctor, who
really knew nothing of it, hadn't even heard. He's a urologist,
not surprising, he hadn't even heard about life of proteinae.
But in listening to his little brother, he got it
(23:35):
and lo and behold, what do you think about him?
He's elevated. He and this was quite quite surprising. And
he at this moment is just doing his own fact finding.
He likes his wine much more than I do. You know,
to me, it's a treat, maybe a huge treat, but
(23:56):
he does like it. And he realizes that if he
goes on a STAT and he's gonna have to be
very careful. But he's thinking about it, and I'm hoping
he'll either take a PCSK nine inhibit or a STAT
and get his LDL under fifty. And we're going to
hear from the Cleveland Clinic and Lily and several other
(24:18):
drug companies, at least one or two of them, And
I would predict in twenty twenty six, because there are
at least six or seven drug studies going on right
now to get life of proteina down. And the buzz
is that one or two of them are going to
report in twenty twenty six, but no one really knows
for sure. My recommendation, I'm following the European guideline on
(24:41):
every single patient I see. I recommend that we check
one time the life of protein A and if it's elevated,
we get the LDL under fifty and a fable we
go on a babys mint to offset this very very
concerning effect of this horrible collect usteral LP lila. Again,
(25:02):
there's nothing anyone's done about it other than to be born,
and I would recommend every adult get it added to
their annual lab work. And you know one comment that
some of the doctors, I love them all, they may say, well,
why check it if there's nothing we can do about it. Well,
we take your family history, don't we, regarding heart disease,
(25:25):
and it dramatically affects us when you have a very
serious family history. Well, this is as bad as having
a bad family history. This is as bad as having
diabetes with regards to your added risk for heart disease.
So it's very important. Just like I can't specifically change
(25:46):
your family history, but I can adjust the rest of
my preventative therapy to you because of the significant added risk.
If your immediate family members, your mother, your father, your siblings,
your children, a man having a heart attack before the
age of fifty five in your immediate family, a woman
(26:08):
in your immediate family having a heart attack before age
sixty five, this adds significant added risk to the individual
of heart disease. Also, So I hope this isn't more
than you want to know just now.
Speaker 2 (26:21):
It's great.
Speaker 3 (26:22):
Get your LP little a check if you want more information.
The best reference I can give you is Google, the
Cleveland Clinic and lipoprotein A. I wish I wrote it.
It's so clear that they have a few pages, very
easy to read. It'll reaffirm exactly what I'm telling you,
and I promise you next By next year, this is
(26:45):
going to be front page. Everybody's going to be talking
about this, all right.
Speaker 1 (26:50):
So they have lots of insight from doctor Ken. Insight
is what we're all about here on the Good Day
Health Program. I'm Doug Stefan with a solution to a problem.
Do you know what the secret is behind Caltron's success.
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It works, not much of a secret, it works. It worked.
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(27:35):
It's all natural, and this time of year, we're all
very conscious.
Speaker 2 (27:39):
Of what we're eating and then what we're going to
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Speaker 2 (28:57):
All right.
Speaker 1 (28:57):
So we have one more heart story that I would
like to Well, there's a couple of connected ones here,
but this week there's a focus on vitamin D and
what that does for your risk of.
Speaker 2 (29:10):
Having a heart attack. This is one of the things
the last few.
Speaker 1 (29:13):
Years that has really become prominent because not many people
paid well.
Speaker 2 (29:17):
I remember the first time you and I talked about
vitamin D.
Speaker 1 (29:20):
It was actually quite a while ago. It's essential, but
a lot of people didn't know that. So what's the latest, DOUG.
Speaker 3 (29:28):
I think this is one where your intuition was right
on target, because there has been buzz in the last
ten or twenty years about vitamin D and some of
the early studies on vitamin D showed that it really
didn't prevent heart attacks. And the problem is the experimental
(29:51):
design was flawed. And what this latest study on vitamin
D and preventing heart attacks, which was just report at
the American Heart Association National meeting, was that you need
to personalize the vitamin D dosing to maintain the vitamin
D level in a range of forty to eighty nanograms
(30:14):
per mL. Let me repeat that again. In order to
prevent heart attacks, you need to make sure that your
vitamin D level is in the forty to eighty range.
And you know, you look on a lot of lab tests,
like my lab came back from. I guess I won't
say anything bad about one of the national lab runners,
(30:35):
but it says, you know, as long as you're over
thirty year, okay, in the reference range. But this study
showed you get the benefit of heart attack reduction when
you personalize the vitamin D dose. When you tell the patient,
you know, take this amount of vitamin D, which you
really need a doctor to help you, because vitamin D
(30:56):
is fat soluble and you can do yourself in by
too much vitamin D. You know, the water soluble vitamins,
the B and C, those go out in the urine.
If you take too much the A and D, those
are fat soluble, you can really harm yourself if you overdose.
And the current FDA recommendation is like eight hundred to
(31:17):
one thousand units a day, and to get your level
up to forty to eighty is probably going to take
more than that. So people who personalize the vitamin D
dose and got a level forty to eighty, they had
a fifty two percent lower heart attack risk than those
in the control group had levels outside less than forty
(31:40):
or higher than eighty. However, the benefit appears to be
restricted solely to heart attacks. The vitamin D did not
lower patient's risk of death, heart failure, or stroke.
Speaker 2 (31:53):
Well, but if it lowers the if it reduces the
risk of a.
Speaker 1 (31:57):
Heart attack, doesn't that automatically mean it helps you from dying.
Speaker 3 (32:00):
I'm gonna make sure my level's at least forty in
under eighty.
Speaker 2 (32:05):
Yeah, I do as well.
Speaker 1 (32:06):
I just think that it's just all of this stuff
makes a lot of sense. Okay, So there are some
items one, two, three, four, five, six, seven, eight, nine, ten.
Speaker 2 (32:17):
Items that we've gone through here.
Speaker 1 (32:19):
Thanks for joining us, Doug Stephan here, Doctor Ken Cronhaus
with Good Day Health.
Speaker 4 (32:25):
This program was produced at Bobksound and Recording. Please visit
bobksound dot com.
Speaker 2 (32:31):
This Good Day Health Doug Stephan with doctor Ken Cronhaus,
sponsored
Speaker 1 (32:34):
In part by Caldron, which is the safe way for
you to lose weight and keep it off
The Good Day Health podcast with doctor Ken Cronhouse, sponsored
in part by Caldron The Safe, proven Way to lose
weight and keep it off. Hi Doug Stefan here, I'm
with doctor Ken Cronhouse on Good Day Health. Ken's Lake Cardiology, Monduro, Florida.
You want to get in on whatever expertise he has
and you require it's easy enough to do. He called
(00:23):
three five two seven three five fourteen hundred. That's his
office in late cardiology terms. Three five two seven three
five fourteen hundred. They'll be happy to see you and
you'll be happy that you went.
Speaker 2 (00:35):
Actually, all right, let's start. We go overview the things.
Speaker 1 (00:38):
If you're just joining us and haven't been a part
of this program in the past, what we do is
take a lot of information. Ken is a great researcher
and scientists in addition to being a clinician, being a
great cardiologist. The information that comes from all kinds of
studies and things that appear from various meetings around the
(01:01):
country and the health journals. All of that stuff becomes
part of our conversation here as to how it impacts
you and your health. And by the way, in case
the radio station changes time or you lose track of
what's going on, you can always augment or if you will,
add to your knowledge by going to the Good Day
(01:22):
Healthshow dot com, podcast spot, Apple, Spotify, iHeart where you
get your podcasts, you can find Good Day Health Good
Day Healthshow dot com.
Speaker 2 (01:32):
All right, let's start with some good news. I don't know.
Speaker 1 (01:35):
I'm arguing with myself as to whether this is even
good news. There's a new line of Cheetos and Doritos
that doesn't have all the gunk in it, a courtesy
of the new Secretary of Health and Human Services, who says,
get all the dies out of whatever foods you're producing.
I'm not so sure even if you get the dies
out of the Cheetos and Doritos are exactly health food
(01:58):
can but you can take it from there.
Speaker 3 (02:01):
Well, it seems like an upgrade, Doug. But bright orange
fingers may soon be less common for some snackers. PepsiCo
Company they announced that it will begin selling new versions
of Cheetos and Doritos that contain no artificial colors or flavors.
Speaker 1 (02:19):
Yeah, I mean, if you like that kind of stuff,
it doesn't have that, but it's got a lot of
other junk. Process junk in it, so understand that it
may be fun to have it at Thanksgiving.
Speaker 2 (02:32):
This is the thanks the pre.
Speaker 1 (02:34):
Thanksgiving program, and so there's a lot of people thinking,
all right, what am I going to eat?
Speaker 2 (02:40):
What's good for me? And YadA YadA.
Speaker 1 (02:42):
Well, watching a football game and eating cheetos or doritos,
I guess is a part of the celebration.
Speaker 2 (02:48):
In a manner of speaking.
Speaker 1 (02:50):
All right, let's see, there's some other good news here,
more than quasi good news. Self hypnosis. Who does that
if you are doing it on a daily basis.
Speaker 2 (03:01):
Sounds like it's good if you're going through menopause.
Speaker 3 (03:03):
Ken, Yes, Doug, this is a publication, real publication from
JAMA Network open this week that self hypnosis might help
some women in menopause find relief from hot flashes. Hot
flashes frequency and intensity decreased by more than fifty percent
among women who listen to a daily audio hypnosis session.
(03:26):
So talk to your gynecologists about these sessions. They may
be a nice help for those who have no hope
right now. Fifty percent reduction, that's a big deal.
Speaker 2 (03:37):
Yeah.
Speaker 1 (03:37):
Well, sometimes there are a lot of people who are
doing much more of this sort of thing. All right,
let's see here we have some heart items. Because you're
a cardiologist, I thought we'd take them and put them
all together. There's a focus on low intensity smoking.
Speaker 2 (03:55):
Either smoke or you don't smoke. That's what I would
carry away. What is, whether you're smoking a lot or
a little, what happens to your.
Speaker 3 (04:02):
Heart can Well, basically you have summarized it rather well
if you usually do, but if you spend a few
months with me in my chair, you would hear very
often patients say, well, you know, I don't smoke that much,
just a few cigarettes a day, no big deal. And
(04:23):
so when I bring up, as I do with any smoker,
the possibility of how are we going to stop this
habit as you are suggesting you need to, and it
comes up often as a comment, well, it's doctor k
It's just a few cigarettes, no big deal. And the
point being is that this big analysis, you know, scientists
(04:45):
called it a minute analysis, when you look at under
every single possibility, look at it all, analyze it all,
and this big analysis confirmed Doug as you're saying scientifically
that even low intensity smokers have a substantially higher risk
of heart disease and death compared to non smokers, even
(05:06):
years after quitting. The bottom line is if you smoke, don't,
even a few don't.
Speaker 1 (05:12):
Yeah, it's the bottom line is not only is it
bad for your health specifically, but think about the smokers
that you've been around and what they smell like. Imagine
what that smell. If you're following somebody down the sidewalk
and he's or she's smoking, and they blow the smoke
in the air. Sometimes you pass a car with somebody
(05:34):
smoking it, you can smell the smoke for miles. Well,
do you think that's doing to your body?
Speaker 2 (05:40):
Uh? Some people call me an elitist.
Speaker 1 (05:42):
I will not expose myself nor put myself in a
position of being around anybody who smokes, period, end of story.
Speaker 2 (05:51):
Never mind.
Speaker 1 (05:51):
You know, if you want to kill yourself, that's fine,
but I'm not letting you kill me. And secondhand spoke
has been proven and we've talked about.
Speaker 2 (05:59):
One hundred times, talked about it once here.
Speaker 1 (06:00):
Ken is just as bad for you as as smoking
the things.
Speaker 3 (06:08):
And you're even talking about third hand smoke when it's
stored in the surface of the car or the or
the couch and you sit down on the couch and
you can smell it all. Yes, second hand smokes. I
went around you was smoking and you're breathing directly in
their smoke. But third hand smoke. But it remains in
the in the structure itself, and you sit down in
(06:30):
it and you're smothered by it. It's a real thing.
Speaker 2 (06:33):
Awesome all right.
Speaker 1 (06:34):
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(07:18):
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And you'll also get better sleep, and you'll feel lighter
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And when you're checking out, they have a four by four.
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Speaker 1 (09:24):
All right, so we're talking about your heart things, the smoking.
I saw something this week on the internet claiming diet
coke is the millennial cigarette. What sort of thing would you?
What I think scientists would say about that? Sounds like
it makes sense to me because diet coke, there's all
kinds of stuff the last month or so about how
(09:46):
bad the sugar's a well, it's not just last month
or so, but this seems to be a focus on it.
We've been talking about the various sugars or sugar substitutes
that get put into these drinks and that it's worse
than sugar and fact for you, right.
Speaker 3 (10:01):
Well maybe maybe so, but even marijuana. Is there there
substitute for cigarettes? So that generation but you know, live
a healthy life. No, I don't know how you can
say what's better or worse.
Speaker 1 (10:17):
They're just not lots of it'll hurt you, yeah right,
but not ice cream, ice cream everything, So.
Speaker 3 (10:26):
I say everything in moderation or yeah.
Speaker 2 (10:29):
That's right, all right, let's see here.
Speaker 1 (10:31):
Yep, there's a story this week about a gout drug
for cardiovascular risk.
Speaker 2 (10:38):
How does that work?
Speaker 3 (10:40):
Well, Doug, the plaque it clogs up the circulation to
our heart and causes heart attacks, the number one killer
of Americans. That plaque is due to too much bad
cholesterol and too much inflammation. And then once that blockage
gets in the thirty to sixty percent range of the
(11:01):
forty to sixty percent range, it can rupture. And that's
step one of a heart attack from too much inflammation.
And we have ways of measuring the inflammation and the circulation.
We get it in your blood tests every year it's
called highly sensitive c reactive protein HSCRP, also called cardiac CRP,
and that's a good measurement for people who want to
(11:23):
prevent heart attacks to know about themselves. They want it
under one. The whole idea behind this scout MEDICINEUG. It's
a common an expensive gutroid called culture scene. It may
help lower the risk of heart attack and stroke and
people with established cardiovascular disease because of its ability to
lower the inflammation in the circulation. This review provided a
(11:47):
high level evidence supporting level for the drugs anti inflammatory
properties for secondary prevention of cardiovascular events. So people who've
already had a heart attack measure their also very important
and talk to the cardiologists about whether anti inflammatory drug
culture scene would help them. Provocatives stuff.
Speaker 2 (12:08):
Have you prescribed this for any of your patients.
Speaker 3 (12:12):
There was a review on this, a study on this
which showed lack of effect. This has been going back
and forth like a ping pong ball, and we don't
have time to talk about this right now. But initially
there was enthusiasm and then there was another There was
another study done and only in Australia did they show
the effects. So I was getting ready to use this
(12:33):
and then the next step. And now there's this big,
big review that just came out actually seeing that there
may be some benefit to it. So I'm still analyzing
the data myself about whether to treat patients with it
and ask me in the next few weeks. But I'm
bringing this to people's attention because this review just came
(12:54):
out and it's something to talk to the cardiologists about.
Speaker 2 (12:57):
All right, more with doctor Kine coming right up.
Speaker 1 (13:05):
All right, we were talking about heart items, the cardiovascular risks
that are helped by this gout drug. Now let's move
into a story about gene editing therapy and what that
does if you have high cholesterol DOUG.
Speaker 3 (13:24):
This is so exciting and I'm not being dramatic. This
is the future. Can you imagine one and done? You
get one infusion and you never have to worry about
your cholesterol ever in your life. This is This is
in experiments, phase two testing and a clinical trial. DOUG
(13:49):
shows the potential for a one time genetic intervention to
treat a common risk factor for heart disease DOUG. So,
a simple gene editing treatment showed significant and sustained reductions
in LDL. The bad cholesterol and a small group of
patients with very high cholesterol despite being on conventional drugs.
(14:11):
This is a bold step towards treating a common chronic
disease with a single, one time genetic tweak. While the
trial is early stage, the results suggest a powerful and
durable way to lower cardiovascular risk factors for life, potentially
eliminating the need for daily medication. I know the cardiologist
(14:33):
who's involved in this, really brilliant guy, actually left Harvard
to start his own company. They have really been making success,
so much success that you know, billions of dollars literally
bought them. I would predict by the end of this
decade there's going to be available one and done where
(14:56):
you can get your cholesterol down in a single effort
and you never have to worry about it again.
Speaker 1 (15:03):
Well, when you say getting it down, getting it down
to what level?
Speaker 3 (15:06):
From extreme extremely low? You know, like what your PSK nine,
Rapatha prolu itt inclesran gets your LDL down to, you know,
under fifty.
Speaker 1 (15:22):
Because then there are those who say we need cholesterol,
we can't.
Speaker 3 (15:26):
Well they've been sleeping under a rock for twenty years
if they're saying that, Because.
Speaker 2 (15:32):
So we need no cholesterol whatsoever.
Speaker 3 (15:34):
When you're born, Doug, you the lower the better. When
you're born, your LDL is thirty mm thirty in the
thirties and some people in the teens, but no more
than the low thirties.
Speaker 2 (15:49):
You're right, and then it gets up into whatever zone
it is.
Speaker 1 (15:54):
There's the argument though, that you here all the time,
but cholesterol numbers are not that important.
Speaker 2 (15:58):
A lot of people are healthy, and they.
Speaker 1 (16:00):
Three hundred total numbers and YadA YadA. And you're going
to tell me that those people living under a rock as.
Speaker 3 (16:06):
Well, right, if they found one, I want to see them.
They're pretty rare, you know. You can say there's someone
three hundred and fifty pounds who is doing okay. But again,
I've never seen an obese ninety year old male in
over forty years of practice. But you can find outliers
wherever you go.
Speaker 2 (16:26):
It's always an exception to the rule one way or
the other. Then, So that's it, you know, you've it's.
Speaker 3 (16:34):
It's just i'll tell you, I'll tell you. I'll tell
you what I do for myself. I mean, I certainly
are making sure that my bad cholesterol is very low.
Speaker 2 (16:46):
Yeah.
Speaker 1 (16:47):
Maybe, wait, you do the same thing I do. Right,
don't you take a path or one another you.
Speaker 3 (16:51):
Are actually we can we can get into each we
can get into I'll give up my hip. We can
talk about LP little A. I'm in the twenty percent
who have a gene gift from their parents. Their life
of proteina is up, and I'm making sure my LDL
is under fifty.
Speaker 2 (17:07):
All right, we can so check that out.
Speaker 1 (17:09):
I'll be a doctor to the doctor as we continue
here in this week's Good Day Health, Doctor Ken Caltrin
is on the top of the food chain, if you will,
when it comes to losing weight, and because it is fall,
it's time to focus on what we seem to get
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two five four three six.
Speaker 1 (18:09):
Six Elizabeth Miller from toploss dot Com and Caltron back
with doctor Ken Cronhaus Doug Stephan. We've been talking about cholesterol,
We've been talking about heart disease because Ken is a
noted cardiologist practicing at Lake Cardiology down in Montorra, Florida.
(18:32):
And as I remind you frequently, because a lot of
people ask me this question. So in order to nip
it in the bud, here's how you get to Ken
and his office dial three five, two seven, three five
fourteen hundred for any kind of connection to Ken. To
better your health and your feelings by yourself is much
better to know what's going on in your body and
(18:54):
to have something and someone intervening for you that'll give
you the right information.
Speaker 2 (19:00):
Two seven three five one four Oh.
Speaker 1 (19:03):
Oh, okay, So you're going to give up your hipA
we're talking about this first came up with you and
me in my exam this past winter. Uh LP little
A and we didn't know you know much about LiPo.
Speaker 2 (19:20):
That's LP stands for a LiPo protein.
Speaker 3 (19:22):
Right, Yes, let's talk about the big picture if we're
going to talk about it, so we don't confuse everybody.
Let's talk about LiPo protein A or also called LP
little A because everybody's going to be talking about this
by the new year. It's going to be front page
news and we'll give everybody a head start, all.
Speaker 2 (19:43):
Right, So let's talk about it.
Speaker 3 (19:47):
All of us probably know somebody who should be on
the front page of Sports Illustrated but has had heart problem.
As a cardiologist, I practicing since the nineteen mi late
nineteen eighties, I have sadly seen too many people that
I just could not figure out. Would keep me up
(20:10):
all night? Why did this person have the big, major event?
And you know, everything possibly that I could think of
was fine. Well, about two three years ago identified was
something called lipoproteina. So everybody's heard about LDL bad cholesterol. Well,
(20:33):
lipoproteina is the awful, terrible cholesterol. It works like LDL
bad cholesterol, but it's even more powerful. It's horrible. It clots,
it plaques, and there's nothing any of us can do
about it except being born. There's nothing we do to
make it happen. There's nothing we do at the moment
(20:56):
to make it go down. And twenty percent of us
are blessed with this. In October two years ago, the
European Society of Cardiology put out a white paper urging
all adults to get their lipoproteina checked once, and unfortunately
the American Heart Association is still only advising moderate and
(21:21):
high risk people most preventive cardiologists. In fact, I think
all preventive cardiologists. I think the American Heart Association is behind.
And I hope no one that the American Heart Association
gets upset with me, but they're hearing it because I'm
not a lone voice. I'm among most, if not all,
of the preventive cardiologists urging the American Heart Association, which
(21:44):
is just probably too busy with other things, to reassess
their position and to make it the same as the
European Society of Cardiology on life of protein A, and
that is that everybody should get it checked once, and
you just need to check once, and twenty percent of
us are going to be elevated, and it's all genetic.
(22:06):
And if you're elevated, your brother or sister is fifty
percent likelihood of being elevated. Well, in the interest of
walking the wall, because you know, I never do anything
for any other patient that I wouldn't do myself if
I needed to. So in my annual blood work this year,
(22:29):
I had to ask because most non preventive cardiologists don't
even yet have this on their radar screen, I had
to ask my internist to add that lab test life
of proteina to my lab work, and lo and behold,
I won the genetic lottery on this one. I'm in
the twenty percent that's high, and usually when it's high,
(22:51):
it's quite high. It's not a little high, it's almost
always quite high. So my LDL, which runs pretty well
in about sixty sixty eight, I immediately got myself on statin
moderates now moderate statin, and I'm going to get my
LDL under fifty. It's also a good idea because of
(23:14):
the clotting issue, if you can tolerate it, to take
a low dose aspen each day. And then I immediately
called my brother to who was also a doctor, who
really knew nothing of it, hadn't even heard. He's a urologist,
not surprising, he hadn't even heard about life of proteinae.
But in listening to his little brother, he got it
(23:35):
and lo and behold, what do you think about him?
He's elevated. He and this was quite quite surprising. And
he at this moment is just doing his own fact finding.
He likes his wine much more than I do. You know,
to me, it's a treat, maybe a huge treat, but
(23:56):
he does like it. And he realizes that if he
goes on a STAT and he's gonna have to be
very careful. But he's thinking about it, and I'm hoping
he'll either take a PCSK nine inhibit or a STAT
and get his LDL under fifty. And we're going to
hear from the Cleveland Clinic and Lily and several other
(24:18):
drug companies, at least one or two of them, And
I would predict in twenty twenty six, because there are
at least six or seven drug studies going on right
now to get life of proteina down. And the buzz
is that one or two of them are going to
report in twenty twenty six, but no one really knows
for sure. My recommendation, I'm following the European guideline on
(24:41):
every single patient I see. I recommend that we check
one time the life of protein A and if it's elevated,
we get the LDL under fifty and a fable we
go on a babys mint to offset this very very
concerning effect of this horrible collect usteral LP lila. Again,
(25:02):
there's nothing anyone's done about it other than to be born,
and I would recommend every adult get it added to
their annual lab work. And you know one comment that
some of the doctors, I love them all, they may say, well,
why check it if there's nothing we can do about it. Well,
we take your family history, don't we, regarding heart disease,
(25:25):
and it dramatically affects us when you have a very
serious family history. Well, this is as bad as having
a bad family history. This is as bad as having
diabetes with regards to your added risk for heart disease.
So it's very important. Just like I can't specifically change
(25:46):
your family history, but I can adjust the rest of
my preventative therapy to you because of the significant added risk.
If your immediate family members, your mother, your father, your siblings,
your children, a man having a heart attack before the
age of fifty five in your immediate family, a woman
(26:08):
in your immediate family having a heart attack before age
sixty five, this adds significant added risk to the individual
of heart disease. Also, So I hope this isn't more
than you want to know just now.
Speaker 2 (26:21):
It's great.
Speaker 3 (26:22):
Get your LP little a check if you want more information.
The best reference I can give you is Google, the
Cleveland Clinic and lipoprotein A. I wish I wrote it.
It's so clear that they have a few pages, very
easy to read. It'll reaffirm exactly what I'm telling you,
and I promise you next By next year, this is
(26:45):
going to be front page. Everybody's going to be talking
about this, all right.
Speaker 1 (26:50):
So they have lots of insight from doctor Ken. Insight
is what we're all about here on the Good Day
Health Program. I'm Doug Stefan with a solution to a problem.
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Speaker 2 (28:57):
All right.
Speaker 1 (28:57):
So we have one more heart story that I would
like to Well, there's a couple of connected ones here,
but this week there's a focus on vitamin D and
what that does for your risk of.
Speaker 2 (29:10):
Having a heart attack. This is one of the things
the last few.
Speaker 1 (29:13):
Years that has really become prominent because not many people
paid well.
Speaker 2 (29:17):
I remember the first time you and I talked about
vitamin D.
Speaker 1 (29:20):
It was actually quite a while ago. It's essential, but
a lot of people didn't know that. So what's the latest, DOUG.
Speaker 3 (29:28):
I think this is one where your intuition was right
on target, because there has been buzz in the last
ten or twenty years about vitamin D and some of
the early studies on vitamin D showed that it really
didn't prevent heart attacks. And the problem is the experimental
(29:51):
design was flawed. And what this latest study on vitamin
D and preventing heart attacks, which was just report at
the American Heart Association National meeting, was that you need
to personalize the vitamin D dosing to maintain the vitamin
D level in a range of forty to eighty nanograms
(30:14):
per mL. Let me repeat that again. In order to
prevent heart attacks, you need to make sure that your
vitamin D level is in the forty to eighty range.
And you know, you look on a lot of lab tests,
like my lab came back from. I guess I won't
say anything bad about one of the national lab runners,
(30:35):
but it says, you know, as long as you're over
thirty year, okay, in the reference range. But this study
showed you get the benefit of heart attack reduction when
you personalize the vitamin D dose. When you tell the patient,
you know, take this amount of vitamin D, which you
really need a doctor to help you, because vitamin D
(30:56):
is fat soluble and you can do yourself in by
too much vitamin D. You know, the water soluble vitamins,
the B and C, those go out in the urine.
If you take too much the A and D, those
are fat soluble, you can really harm yourself if you overdose.
And the current FDA recommendation is like eight hundred to
(31:17):
one thousand units a day, and to get your level
up to forty to eighty is probably going to take
more than that. So people who personalize the vitamin D
dose and got a level forty to eighty, they had
a fifty two percent lower heart attack risk than those
in the control group had levels outside less than forty
(31:40):
or higher than eighty. However, the benefit appears to be
restricted solely to heart attacks. The vitamin D did not
lower patient's risk of death, heart failure, or stroke.
Speaker 2 (31:53):
Well, but if it lowers the if it reduces the
risk of a.
Speaker 1 (31:57):
Heart attack, doesn't that automatically mean it helps you from dying.
Speaker 3 (32:00):
I'm gonna make sure my level's at least forty in
under eighty.
Speaker 2 (32:05):
Yeah, I do as well.
Speaker 1 (32:06):
I just think that it's just all of this stuff
makes a lot of sense. Okay, So there are some
items one, two, three, four, five, six, seven, eight, nine, ten.
Speaker 2 (32:17):
Items that we've gone through here.
Speaker 1 (32:19):
Thanks for joining us, Doug Stephan here, Doctor Ken Cronhaus
with Good Day Health.
Speaker 4 (32:25):
This program was produced at Bobksound and Recording. Please visit
bobksound dot com.
Speaker 2 (32:31):
This Good Day Health Doug Stephan with doctor Ken Cronhaus,
sponsored
Speaker 1 (32:34):
In part by Caldron, which is the safe way for
you to lose weight and keep it off
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